摘要
目的观察体外冲击波疗法(ESWT)对海航飞行员慢性颈腰痛的治疗效果。方法于2022年12月至2023年5月选择120例患有慢性颈腰痛的海航飞行员,采用随机数字表法分为3组,每组40例。对照组仅采用传统疗法治疗,中频电疗法组采用传统疗法+中频电疗法联合治疗,ESWT组采用传统疗法+ESWT联合治疗。对3组飞行员的治疗总有效率、疼痛视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)评分、腰椎日本骨科协会(JOA)评分和健康评估12项简表(SF-12)评分进行比较。结果治疗后,ESWT组总有效率(97.5%,39/40)高于对照组(62.5%,25/40)和中频电疗法组(85.0%,34/40),差异均有统计学意义(P<0.05)。治疗前,3组疼痛VAS、NDI评分、腰椎JOA评分和SF-12评分差异均无统计学意义(P>0.05);治疗后,ESWT组疼痛VAS和NDI评分低于对照组和中频电疗法组,腰椎JOA评分和SF-12评分高于对照组和中频电疗法组,差异均有统计学意义(P<0.05)。结论ESWT能够有效地改善慢性颈腰痛海航飞行员疼痛症状、颈腰椎功能和生活质量。
Objective To study the therapeutic effect of extracorporeal shock wave therapy(ESWT)on chronic neck and low back pain in naval pilots.Methods A total of 120 naval pilots with chronic neck and low back pain were selected and divided into three groups by the random number table method from December 2022 to May 2023,with 40 cases in each group.The control group received conventional therapy only,the intermediate-frequency electro-therapy group received conventional therapy combined with intermediate-frequency electro-therapy,and the ESWT group received conventional therapy combined with ESWT.The total effective rates of treatment,visual analogue scale(VAS)pain scores,neck disability index(NDI)scores,lumbar spine Japanese Orthopaedic Association(JOA)scores,and 12-items short form(SF-12)of health survey scores of the three groups were compared.Results After treatment,the total effective rate in the ESWT group(97.5%,39/40)was higher than that in the control group(62.5%,25/40)and the intermediate-frequency electro-therapy group(85.0%,34/40),with statistically significant differences(P<0.05).Before treatment,there were no statistically significant difference in VAS pain scores,NDI scores,lumbar spine JOA scores,or SF-12 scores among the three groups(P>0.05).After treatment,the VAS pain score and NDI score in the ESWT group were lower than those in the control group or the intermediate-frequency electro-therapy group(P<0.05),while the lumbar spine JOA score and SF-12 score in the ESWT group were higher than those in the control group or the intermediate-frequency electro-therapy group,all with statistically significant differences(P<0.05).Conclusion The ESWT can effectively alleviate pain,enhance the functions of cervical and lumbar spine,and improve the quality of life for naval pilots with chronic neck and low back pain.
作者
周国强
梁磊
郭闻渊
Zhou Guoqiang;Liang Lei;Guo Wenyuan(Department of Organ Transplantation,Second affiliated Hospital of Naval Medical University,Shanghai 200003,China;Department of Spinal Surgery,Second affiliated Hospital of Naval Medical University,Shanghai 200003,China)
出处
《中华航海医学与高气压医学杂志》
CAS
CSCD
2024年第2期179-182,共4页
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
关键词
慢性颈腰痛
体外冲击波疗法
治疗效果
飞行员
Chronic neck and low back pain
Extracorporeal shock wave therapy
Therapeutic effect
Pilot
